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1982768818
RANDY LEE CARLSON
MARQUETTE, MI
NPI
1982768818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501009754)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
-- RANDY LEE CARLSON MPT
3135 US HIGHWAY 41 W
MARQUETTE, MI 49855-9494
Phone number: 906-225-5900
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Mailing Address
-- RANDY LEE CARLSON MPT
6 HEATHER LN
MARQUETTE, MI 49855-9396
Phone number: 906-475-5279
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